Individual provider · Type 1 NPI
Jonathan David Shadburne, DMD
Pediatric Dentistry · Gallatin, TN
NPI number
1861981979
Active · reactivated Oct 31, 2023
Practice location
124 Goodview Way Ste B
Gallatin, TN 37066-4927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.025658 (OH) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 11282 (TN) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Gallatin
About NPI 1861981979
Jonathan David Shadburne, DMD's National Provider Identifier is 1861981979, issued on May 3, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Gallatin, TN. The record was last updated on Nov 15, 2023.